P-OT026. Epidemiological trends on the risk factors and outcomes of stroke

Introduction. Malaysia observed a declining trend of stroke related deaths since 2009. Age adjusted death rates for stroke was 71.5 deaths per 100,000 population. This study aimed to determine the epidemiological trends on the risk factors and outcomes of stroke based on the World Health Organization (WHO) classification of stroke. Methods. This observational hospital-based study was conducted at the Seberang Jaya Hospital (HSJ) from January 2013 to December 2018. A total of 1373 stroke patients upon admission to the hospital that were registered under the National Neurology Registry of Stroke were recruited. Results. The mean (SD) age of the patients was 61.6 (12.5) years. Younger aged population were predominantly being afflicted with stroke over the past few years. The majority of the patients were men (62.9%) and Malays (53.7%). Hypertension was the main risk factor (69.2%), with the number of cases decreasing over the years. Diabetes mellitus was showing a similar trend. Hyperlipidaemia and ischaemic heart disease accounted for about 20% of the total cases and plateaued over the years. It was observed that smoking was on the rise over the course of the study period. Ischaemic stroke (80%) and first-ever stroke (77.9%) were more commonly encountered as compared to haemorrhagic stroke and recurrent stroke respectively. Conclusion. Up-to-date public health actions, especially on primary prevention is crucial in order to reduce the impact of stroke on people’s health.